Girls + Technology Nomination Form
Nominate an outstanding woman who is succeeding in a technology field and giving back to her community in a meaningful way, by encouraging other women and youth to pursue careers in Technology
This initiative is part of the Young Leaders of the Americas Reverse Exchange initiative by Evie Kanhai - Gurchuran, and supported by the The Meridian Center, The US Department of State, The US Embassy Guyana, The International Development Bank and SITES Builder
Sign in to Google to save your progress. Learn more
Name of Nominee *
First and last name
Email Address of Nominee *
Phone number of Nominee *
In which field is she engaged? *
Required
Submit the specific reasons why this woman should receive a "Girls + Technology" Award (150-200 Words) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms